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An orchiectomy, especially in early-stage disease, is advantageous because it provides tissue for pathologic evaluation and removes a sanctuary site, as the blood-testis barrier makes testicular tumors inaccessible to systemic chemotherapy.
In previously reported cases, orchiectomy was done either due to suspicion of tumour, or failed medical management.
The recommended treatment is surgery in the form of wide local excision, which in most cases is a radical orchiectomy from as close to the deep ring as possible.
When he had his orchiectomy, the histological results showed pure seminoma.
During surgery, we found it impossible to dissect the mass from atrophic testis thus we preferred to perform a radical inguinal orchiectomy.
The addition of an antiandrogen should be considered for patients responsive to orchiectomy or LHRH agonists alone;
The patient underwent high inguinal testicular exploration; and since differential diagnosis of testicular tumor could not be made with frozen section, high inguinal orchiectomy was performed.
Surgeries performed at the 14 centers include Brachytherapy for prostate cancer; Orchiectomy for testicular cancer; Cystoscopy; Prostate Biopsy; Lithotripsy; Circumcision; Minimally invasive treatments for BPH; Vasectomy; Hydrocelectomy; Spermatocelectomy; and Varicoceletomy.
The distinction of spermatocytic seminoma from other forms of testicular germ cell tumor is important because spermatocytic seminomas, unless complicated by sarcomatous transformation, lack the capacity to metastasize and therefore are adequately treated by orchiectomy alone without any form of adjuvant therapy.
But men also have a higher tendency toward alcoholism besides gender-associated risk factors, such as hypogonadism from orchiectomy or the use of GnRH agonists for prostate cancer.
All men enrolled were over 50 years or older with histologically documented prostate cancer, serum prostate specific antigen (PSA) 4 ng/ml or less and a history of orchiectomy, or treatment with GnRH agonist for at least 6 months or intermittent treatment with a GnRH agonist for at least 12 months.
We included those with orchiectomy performed at our centre, and treated with BEP (bleomycin, etoposide and cisplatinum) chemotherapy.
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